Dental
implants can be placed in fresh sockets immediately after tooth extraction.
These are called "immediate"
implants. "Immediate-delayed'"
implants are those implants inserted after one or more weeks, up to a
month or more, to allow for soft tissue healing.
"Delayed" implants are those
placed thereafter in partially or completely healed bone. The advantage
of immediate placed implants is the shortened treatment time. Bone height will be maintained thus improving
implant bone support and aesthetic
results. The extraction socket can have an implant placed immediately
after a CHRONICALLY infected tooth is removed, but needs to have the
replacing implant anchored into bone and the site grafted at the same time
with a PTFE membrane that excludes soft tissue, allowing the bone
grafted socket site to healnormally with the newly
placed implant.

Chronic Abscess

Immediate Extraction Site
Start of Implant Placement

Implant Site Development and Evaluation with Rapid CCD Radiograph at Time
of Implant Placement

Centered and Ideally PlacedImmediate Implant
with Cover Screw

PTFE Membrane Covering Graft

PTFE Membrane and Sutures Covering Graft

Membrane Removed at Six Weeks

3 Months Post-Op with Regeneration of Hard & Soft Tissue

Final Impression with Combined "Open" & "Closed" Tray
Technique

Healing Abutment

Master Cast

Custom Abutment on Master Cast and Inserted

Radiograph of Custom Abutment and Bone Regeneration

Provisional Crown for Provisional Loading of Implant

Final Crown on Master Cast and Insertion with Composite in
Screw Access Hole